DOCS Clinics Signup
DOCS Agreement Statement: By signing up for a DOCS clinics, I understand that I am making a professional commitment to this student organization and the UMMSM. Every volunteer position in a clinic is vital to its overall success and we appreciate you taking the time to volunteer and provide our patients with the best healthcare experience possible. If any unforeseen circumstances arise, please contact the Student Liaison and/or the Clinic Project Manager ASAP. Any unexcused absences from the Clinic will be handled on a case-by-case basis and followed up with DOCS Executive Board. *
Available Dates *
First Name *
Your answer
Last Name *
Your answer
Sex *
Email *
Your answer
Phone Number *
Your answer
Class *
Academic Society *
Do you understand Spanish? *
Do you feel comfortable conducting a patient interview on your own in Spanish? *
Do you feel comfortable functioning as a Spanish interpreter? (note: by checking this box you will not be expected to interpret at clinic without first discussing and learning more about it with the clinic staff) *
Would you like assistance in obtaining a ride to clinic? *
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